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Individual

LINDSAY WORTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CAC II, LPCC

Contact information

Practice address
2020 GRAND AVE, SUITE 415, LARAMIE, WY 82070
(307) 223-1048
Mailing address
PO BOX 2420, LARAMIE, WY 82073
(307) 223-1048

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0008061
CO
101YM0800X
Mental Health Counselor
LPCC.0014385
CO
101YP2500X
Professional Counselor
LPC.0013596
CO
101YP2500X
Professional Counselor
Primary
LPC1835
WY

Other

Enumeration date
11/30/2016
Last updated
12/07/2022
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